Twenty minutes after administering pain medication to the patient, the nurse asks if the patient's pain level has decreased. What phase of the nursing process does this demonstrate?
Assessment
Analysis/Diagnosis
Planning
Implementation
Evaluation
The Correct Answer is E
Choice A reason: Assessment is the first phase of the nursing process, where the nurse collects data about the patient's health status, needs, preferences, and goals.
Choice B reason: Analysis/Diagnosis is the second phase of the nursing process, where the nurse interprets the data and identifies the patient's problems, risks, and strengths.
Choice C reason: Planning is the third phase of the nursing process, where the nurse develops a care plan that specifies the expected outcomes, interventions, and priorities for the patient.
Choice D reason: Implementation is the fourth phase of the nursing process, where the nurse executes the care plan and performs the interventions for the patient.
Choice E reason: Evaluation is the fifth and final phase of the nursing process, where the nurse measures the effectiveness of the interventions and compares the actual outcomes with the expected outcomes. Asking the patient about their pain level after giving pain medication is an example of evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because it shows that the RN understands delegation as a way of managing time effectively. Delegation is the process of assigning tasks to other members of the health care team who are competent and qualified to perform them. By working with the LPN and nursing assistant on dividing up patient care tasks, the RN can ensure that the tasks are done safely, efficiently, and according to the scope of practice of each team member.
Choice B reason: This is not the correct answer because it shows that the RN does not understand delegation as a way of managing time effectively. Working overtime until everything is finished is not a sustainable or productive strategy, as it can lead to fatigue, burnout, and errors. The RN should prioritize the tasks that are most important and urgent, and delegate the tasks that can be done by others.
Choice C reason: This is not the correct answer because it shows that the RN does not understand delegation as a way of managing time effectively. Checking to make sure that the tasks are done correctly is part of the supervision and evaluation of delegation, but it is not the main goal of delegation. The main goal of delegation is to optimize the use of resources and skills of the health care team, and to provide quality care to the patients. The RN should trust and respect the abilities of the LPN and nursing assistant, and only intervene if there is a problem or a concern.
Choice D reason: This is not the correct answer because it shows that the RN does not understand delegation as a way of managing time effectively. Completing every nursing intervention or report by the end of the shift is not always possible or realistic, especially in a busy and dynamic health care environment. The RN should focus on the outcomes and quality of care, rather than the quantity of tasks. The RN should also communicate and collaborate with the other members of the health care team, and hand over any unfinished tasks to the next shift.
Correct Answer is C
Explanation
Choice A reason: A teacher who notices a mole change but doesn't have time to see a dermatologist is not in a state of wellness. A mole change could indicate skin cancer, which is a serious health problem that requires prompt medical attention. Ignoring or delaying the diagnosis and treatment of skin cancer could compromise the teacher's physical and emotional well-being.
Choice B reason: A fitness trainer who is struggling to cope with the death of her mother is not in a state of wellness. The death of a loved one is a major life stressor that can affect the fitness trainer's mental and emotional health. Grieving is a normal and healthy process, but it can also interfere with the fitness trainer's daily functioning and quality of life. The fitness trainer may need professional help or support from family and friends to cope with the loss.
Choice C reason: A hospice client who is comfortable and at peace with dying is in a state of wellness. Wellness is not only the absence of disease, but also the presence of positive health behaviors and attitudes. A hospice client who is comfortable and at peace with dying has accepted the reality of their condition and has made peace with themselves and others. The hospice client may also receive palliative care, which aims to relieve pain and suffering and improve the quality of life for terminally ill patients and their families.
Choice D reason: A type 1 diabetic who gives himself extra insulin so he can eat cookies is not in a state of wellness. A type 1 diabetic who gives himself extra insulin so he can eat cookies is engaging in unhealthy and risky behavior that could harm his physical health. Extra insulin could cause hypoglycemia, which is a condition where the blood sugar level drops too low and can lead to seizures, coma, or death. Eating cookies could also increase the blood sugar level and contribute to complications such as nerve damage, kidney damage, or cardiovascular disease. A type 1 diabetic who wants to eat cookies should follow a balanced diet and monitor his blood sugar level regularly.
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